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4AZ-69752-23821

3 vaccinations 6 coded responses 11 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
730 / OK
Registered
2021-02-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Dose 1 — Moderna
  2. 2021-02-25
    Dose 2 — Moderna
  3. 2021-02-26
    Registered in v-safe
  4. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: I have RA and this is making the constant pain I have worse.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Itching · Headache, Joint pains · Be unable to do your normal daily activities
    Free text: Swollen and sore limp nodes under arm where I received my shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Limp nodes still swollen and sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Nasal congestion, Oral pain, Rhinalgia — Feeling: Good · Fatigue or tiredness
    Free text: Limp nodes under arm still swollen. Also side of neck on side where received the shot. And now sore in roof of mouth and one side of my nose is swollen in the opening.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Oral herpes — Feeling: Good
    Free text: Still have swollen limp nodes and something like cold sirs in my nose and mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Infection, Lymph node pain — Feeling: Good
    Free text: Limp nodes a little sore still but swelling has gone down. Infection in nose is still ongoing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-10-25
    Dose 3 — Moderna
  12. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  15. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-25Moderna
32021-10-25Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): I have RA and this is making the constant pain I have worse.

2021-02-27

Systemic reaction (other): Swollen and sore limp nodes under arm where I received my shot

2021-02-28

Systemic reaction (other): Limp nodes still swollen and sore

2021-03-01

Systemic reaction (other): Limp nodes under arm still swollen. Also side of neck on side where received the shot. And now sore in roof of mouth and one side of my nose is swollen in the opening.

2021-03-02

Systemic reaction (other): Still have swollen limp nodes and something like cold sirs in my nose and mouth.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Limp nodes a little sore still but swelling has gone down. Infection in nose is still ongoing.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SROInfection ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORheumatoid arthritis ✓ ✓ ✓
SRORhinalgia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release